# INTEGRATED SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Integrated Surgery Center LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942522628
- **Authorized official:** DR. JONATHAN NISSANOFF M.D (CEO)
- **Authorized official phone:** (310) 855-0752

## Contact information

- **Practice address:** 8670 WILSHIRE BLVD, SUITE 203, BEVERLY HILLS, CA 90211-2924
- **Practice address phone:** (310) 855-0752
- **Mailing address:** POST OFFICE BOX 269092, OKLAHOMA CITY, OK 73126-9092
- **Mailing address phone:** (310) 855-0752

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | CA | Yes |

## Other

- **Enumeration date:** 02/22/2010
- **Last updated:** 02/22/2010